Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacie Leann Lutke

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114508371

Jacie Leann Lutke is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (231) 429-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114508371
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Other providers in Grand Rapids